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. 2020 Dec 18;43(3):2000112. doi: 10.1002/bies.202000112

Table 3.

Changes in the vascular resistance in various organs are calculated for a normal person (while resting and during exercise) and for a hypertensive patient (resting and during fever)

Normotensive person Older hypertensive patient with a large allostatic load
During rest (ΔP = 97 mmHg) Exercise (ΔP = 100 mmHg) During rest (ΔP = 110 mmHg) Fever (ΔP = 110 mmHg)
Circulatory circuit Organs Mass Blood flow Vascular resistance Blood flow Vascular resistance Blood flow Vascular resistance Blood flow Vascular resistance
kg l/min MPas/m3 l/min MPas/m3 l/min MPas/m3 l/min MPas/m3
Peripheral circuit (data in grey cells from the ref. 34) Liver 2.6 1.50 517.33 1.50 533.33 1.50 586.67 1.50 586.67
Kidneys 0.3 1.26 615.87 1.26 634.92 1.26 698.41 1.26 698.41
Brain 1.4 0.75 1034.67 0.75 1066.67 0.75 1173.33 0.75 1173.33
Skin 3.6 0.46 1676.03 0.46 1727.86 0.46 1900.65 2.50 352.00
Skeletal muscle 31 0.84 923.81 8.00 100.00 0.84 1047.62 2.00 440.00
Heart muscle 0.3 0.25 3104.00 0.75 1066.67 0.25 3520.00 0.75 1173.33
Rest of the body 23.8 0.34 2302.67 0.34 2373.89 0.34 2611.28 0.34 2611.28
Whole body 63 5.40 143.70 13.06 61.26 5.40 162.96 9.10 96.74
Pulmonary circuit (ΔP = 9 mmHg) 1.3 5.40 13.33 13.06 5.51 5.40 13.33 9.10 7.91

The cardiac output adapts to the ever changing integrated resistance of all vessels. Calculated resistance values suggest that organs adapt their vascular resistance to maintain normal perfusion rates and hydrostatic capillary pressure. This means that increased allostatic load can lead to hypertension that will be compensated by increased resistance. This builds up the pressure reserve in the arterial tree that might improve acute physical responses and accelerate atherosclerosis. Pulmonary resistance needs to be protected from vasoconstrictors in the systemic circulation in febrile patients with allostatic loads. Otherwise, the pulmonary circuit might become the circulatory bottleneck, leading to compromised perfusion patterns and blood oxygenation in lungs